Eligibility Specialist II

Department of Health and Human Services • Augusta, GA

13d • Hybrid

About The Position

As an Eligibility Specialist II, you’ll play a vital role in connecting Maine residents to key programs including MaineCare—the state’s largest health insurance program serving lower-income adults, children, older adults, and people with disabilities; SNAP or food benefits to help low-income people and families supplement their grocery budgets; and TANF or cash assistance to help families while they work towards becoming self-sufficient. In this position, you’ll help people navigate important life situations while ensuring accuracy in determining eligibility. The work is fast-paced, collaborative, and mission-driven with a strong focus on customer service, problem solving, and teamwork.

Requirements

• A four (4) year combination of education, training, and/or progressively responsible experience a social services setting which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and/or customer service requests
• A Bachelors Degree in Social Services, Business Administration, or other related field

Nice To Haves

• Strong communication and interpersonal skills are essential as you’ll work with people from diverse backgrounds, with varying needs, and help them navigate complex systems during moments that matter.

Responsibilities

• Evaluate information and apply program standards to accurately determine complex eligibility decisions, often for multiple programs at the same time. This includes performing intermediate mathematical calculations.
• Use multiple technology systems to enter, review, and verify eligibility-related data and documentation.
• Clearly explain program rules, requirements, and decisions to applicants and recipients—in writing, over the phone, and in-person.
• Reviews and process information received electronically or by mail to ensure completeness and compliance.
• Connect individuals with additional programs and services that may support their health and well-being.
• Engage in outreach efforts to provide program information, accept applications, and determine eligibility.
• Gather evidence, develop reports, and represent the Department at administrative hearings.

Benefits

• 13 paid holidays
• 12 days of sick leave
• 3+ weeks of vacation leave annually
• Health Insurance Coverage
• Health Insurance Premium Credit
• Dental Insurance
• Retirement Plan
• six weeks of fully paid parental leave
• Additional, unpaid leave may also be available, under the Family and Medical Leave Act

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level